NPIMap

Organization Active NPI

Lake Sunapee Homecare and Hospice

Doing business as Lake Sunapee Regional VNA And Hospice

  • Community Based Hospice Care Agency
  • New London, NH
National Provider Identifier
1619908241
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
030301 Issued in NH
Legal business name
LAKE SUNAPEE HOMECARE AND HOSPICE
Doing business as
Lake Sunapee Regional VNA And Hospice
Practice address
107 Newport Road
New London, NH 03257
Phone
(603) 526-4077
Fax
(603) 574-4343
NPI assigned
Jul 5, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Patrick-Baudet
Title
Ceo
Phone
(603) 526-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 030301 NH Primary

Addresses

Primary practice location

107 Newport Road
New London, NH 03257

Mailing address

PO Box 2209
New London, NH 03257-2209
Phone (603) 526-4077

Other identifiers 1

IdentifierTypeStateIssuer
800566OtherNHBCBS HOSPICE PROVIDER NUM

Other names 1

  • Lake Sunapee Regional VNA And Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.inovalon.com/provider-emdrs/ Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141223000732 NH Part A Provider - Hospice 9436114436 Practice locations: New London, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619908241. Details of each certification follow.

Hospice certification: CCN 301509

Legal name
LAKE SUNAPEE HOMECARE AND HOSPICE
Doing business as
LAKE SUNAPEE REGIONAL VNA AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 5, 1992
Last certification
Apr 15, 2022
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1970 in NH
Enrollment address
107 Newport Rd
New London, NH 03257-5415

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Lake Sunapee Home Care & HospiceCCN 301509 · All quality measures
Ownership
Non-Profit
Certified
Nov 5, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Buffum Individual Corporate Director Mar 8, 2023
Anthony R Marino Individual Corporate DirectorDirector Feb 2, 2022
Anthony Joseph Abbruzzi Individual Corporate DirectorMedical Director Mar 8, 2023
James J Culhane Individual Corporate DirectorCeo Feb 2, 2015
W-2 Managing EmployeeCeo Feb 2, 2015
Richard U Cross Individual Corporate Director Feb 19, 2025
Jane C Peel Individual Corporate Director Feb 19, 2025
Elizabeth a Falicon Individual Corporate DirectorDirector Mar 1, 2023
Caitlin Barden Individual Corporate OfficerChief Clinical Officer Jan 1, 2022
Trisha Gray Individual Corporate DirectorDirector of Human Resources Mar 21, 2022
Daniel Junius Individual Corporate DirectorBoard Member Feb 1, 2017
Lori Underwood Individual Corporate Director Jul 25, 2023
Melinda Palmer Individual Corporate DirectorRevenue Cycle Director May 20, 2021
Jerrianne Seger Individual Corporate DirectorDirector Feb 2, 2022
George P Quackenbos Individual Corporate DirectorBoard Member Feb 27, 2014
Monique F Malanga Individual Corporate DirectorCfo Jun 22, 2002
Linda S Scofield Individual Corporate DirectorBoard Member Sep 25, 2018
Neil S Shifrin Individual Corporate DirectorBoard Member Feb 8, 2019
Donald Eberly Individual Corporate Director Mar 8, 2023
Shari Goldberg Individual Corporate DirectorDirector Feb 2, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1619908241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572209",
            "telephone_number": "603-526-4077",
            "fax_number": "603-574-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWPORT ROAD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "03257",
            "telephone_number": "603-526-4077",
            "fax_number": "603-574-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUNAPEE HOMECARE AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "PATRICK-BAUDET",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-526-4077"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NH",
            "license": "030301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOSPICE PROVIDER NUM",
            "identifier": "800566",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.inovalon.com/provider-emdrs/",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lake Sunapee Regional VNA And Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.